Individual provider Active NPI

Renee Jodian Smith, NP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1407493026
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN236347 Issued in GA
Practice address
598 Nancy St NW Ste 100
Marietta, GA 30060-1375
Phone
(770) 742-6333
Fax
(678) 310-1541
NPI assigned
Dec 2, 2019
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN236347 GA Primary

Addresses

Primary practice location

598 Nancy St NW Ste 100
Marietta, GA 30060-1375

Mailing address

3575 Mill Creek Dr SW
Smyrna, GA 30082-2925

Other practice location 1

1155 Concord Rd SE Ste 120
Smyrna, GA 30080-4255
Phone (470) 649-3890

Other practice location 2

2340 Perimeter Park Dr Ste 100
Atlanta, GA 30341-1318
Phone (770) 847-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102001628 GA Practitioner - Nurse Practitioner 1951799485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Oct 6, 2021 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Oct 6, 2021 Accepting new patients
Pure Infusion of Georgia LLC CurrentSince Jul 28, 2025 Accepting new patients

Locations

2340 Perimeter Park Dr
Ste 100
Atlanta, GA 30341
Phone (770) 847-8900

4745 Ashford Dunwoody Rd
Ste D
Atlanta, GA 30338
Phone (678) 254-0945

114 E Trinity Pl
Decatur, GA 30030
Phone (470) 235-2832

598 Nancy St NW
Ste 100
Marietta, GA 30060
Phone (770) 742-6333

1155 Concord Rd SE
Ste 120
Smyrna, GA 30080
Phone (470) 649-3890

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

4179 S Riverboat Rd
Ste 220
Taylorsville, UT 84123
Phone (801) 590-9267

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1407493026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 MILL CREEK DR SW",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 NANCY ST NW STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601375",
            "telephone_number": "770-742-6333",
            "fax_number": "678-310-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Concord Rd SE Ste 120",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300804255",
            "country_code": "US",
            "telephone_number": "470-649-3890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Perimeter Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303411318",
            "country_code": "US",
            "telephone_number": "770-847-8900",
            "fax_number": "678-802-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RENEE",
        "middle_name": "JODIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN236347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.